SavedAdd your journal

Journals / Southern Clinics of Istanbul Eurasia / 2021 / Cilt: 32 - Sayı: 3

Total Laparoscopic Hysterectomy Experience: Retrospective Results of a Tertiary Center

Didar KURT
Emre MAT
Pınar YILDIZ
Ahmet KALE
Gulfem BASOL
Elif Cansu GÜNDOĞDU
Tuğba Gül YILMAZ
Elif Beyza ÖZER
Betul KURU
Umit CABUS
Pages
311–315
Publication Date
2022-10-19
DOI
—
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

The overall major complication rate was 3.2% and the rate of conversion to laparotomy was found to be 1.5%.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Objective: In the present study, it was aimed to retrospectively evaluate the intraoperative and postoperative outcomes of all laparoscopic hysterectomy procedures carried out at the obstetrics and gynecology department between January 2018 and September 2020.
📊
Key Findings & Data:Methods: The files and operation case notes of 445 patients who underwent total laparoscopic hysterectomy for benign indications between January 2018 and September 2020 were retrieved from the hospital information management system and their intraoperative and postoperative outcomes were analysed.
💡
Conclusion & Impact:The overall major complication rate was 3.2% and the rate of conversion to laparotomy was found to be 1.5%.
🔬Design:Research Article
📍Scope:2018 Verileri
⚙️Variables:Domain Parameters

Abstract

Objective: In the present study, it was aimed to retrospectively evaluate the intraoperative and postoperative outcomes of all laparoscopic hysterectomy procedures carried out at the obstetrics and gynecology department between January 2018 and September 2020. Methods: The files and operation case notes of 445 patients who underwent total laparoscopic hysterectomy for benign indications between January 2018 and September 2020 were retrieved from the hospital information management system and their intraoperative and postoperative outcomes were analysed. Results: The mean age of 445 patients included in the present study was 51.2±8.5 and parity 2.98±1.85, and the most common indication for hysterectomy was myoma uteri. The mean operation time was determined as 100.7±36.7 min. The overall major complication rate was 3.2% and the rate of conversion to laparotomy was found to be 1.5%. Conclusion: In patients who are not suitable for vaginal hysterectomy, total laparoscopic hysterectomy may be a reasonable option in terms of increasing the patient comfort, lower complication rates, and increasing the the experience of the surgical team.

🔖

Cite This Article

KURT, D., MAT, E., YILDIZ, P., KALE, A., BASOL, G., GÜNDOĞDU, E. C., YILMAZ, T. G., ÖZER, E. B., KURU, B., CABUS, U. (2022). Total Laparoscopic Hysterectomy Experience: Retrospective Results of a Tertiary Center. Southern Clinics of Istanbul Eurasia, Cilt: 32 - Sayı: 3, 311–315. https://ajindex.com/articles/592749

📄 Full Text PDF Viewer

📄

PDF görüntüleyici hazırlanıyor...

References (13)

  1. Osler M, Daugbjerg S, Frederiksen BL, Ottesen B. Body mass and risk of complications after hysterectomy on benign indications. Hum Reprod 2011;26:1512–8
  2. Wright JD, Herzog TJ, Tsui J, Ananth CV, Lewin SN, Lu YS, et al. Nationwide trends in the performance of inpatient hysterectomy in the United States. Obstet Gynecol 2013;122:233–41
  3. Whiteman MK, Hillis SD, Jamieson DJ, Morrow B, Podgornik MN, Brett KM, et al. Inpatient hysterectomy surveillance in the United States, 2000-2004. Am J Obstet Gynecol 2008;198:34.e1–7
  4. Garry R, Fountain J, Mason S, Hawe J, Napp V, Abbott J, et al. The eVALuate study: two parallel randomised trials, one comparing laparoscopic with abdominal hysterectomy, the other comparing laparoscopic with vaginal hysterectomy. BMJ 2004;328:129
  5. Einarsson JI, Matteson KA, Schulkin J, Chavan NR, Sangi-Haghpeykar H. Minimally invasive hysterectomies-a survey on attitudes and barriers among practicing gynecologists. J Minim Invasive Gynecol 2010;17:167–75
  6. Vaisbuch E, Goldchmit C, Ofer D, Agmon A, Hagay Z. Laparoscopic hysterectomy versus total abdominal hysterectomy: a comparative study. Eur J Obstet Gynecol Reprod Biol 2006;126:234–8
  7. Donnez O, Jadoul P, Squifflet J, Donnez J. A series of 3190 laparoscopic hysterectomies for benign disease from 1990 to 2006: evaluation of complications compared with vaginal and abdominal procedures. BJOG 2009;116:492–500
  8. ACOG Committee Opinion No. 444: choosing the route of hysterectomy for benign disease. Obstet Gynecol 2009;114:1156–8
  9. Chapron C, Fauconnier A, Goffinet F, Bréart G, Dubuisson JB. Laparoscopic surgery is not inherently dangerous for patients presenting with benign gynaecologic pathology. Results of a meta-analysis. Hum Reprod 2002;17:1334–42
  10. Aarts JW, Nieboer TE, Johnson N, Tavender E, Garry R, Mol BW, et al. Surgical approach to hysterectomy for benign gynaecological disease. Cochrane Database Syst Rev 2015;2015:CD003677
  11. Ibeanu OA, Chesson RR, Echols KT, Nieves M, Busangu F, Nolan TE. Urinary tract injury during hysterectomy based on universal cystoscopy. Obstet Gynecol 2009;113:6–10
  12. Wong JMK, Bortoletto P, Tolentino J, Jung MJ, Milad MP. Urinary tract injury in gynecologic laparoscopy for benign indication: a systematic review. Obstet Gynecol 2018;131:100–8
  13. Chang WC, Hsu WC, Sheu BC, Huang SC, Torng PL, Chang DY. Minimizing bladder injury in laparoscopically assisted vaginal hysterectomy among women with previous cesarean sections. Surg Endosc